London's Pulse: Medical Officer of Health reports 1848-1972

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Southall 1938

[Report of the Medical Officer of Health for Southall]

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Scarlatina.
Of the 261 cases notified 254 were finally diagnosed, and the following
table shows the incidence in age groups of the 254 cases of scarlatina which
were nursed at the hospital:—

Table No. 57.

Age (years)0-55-1515-2525-3535+
Number331931783

The disease on the whole was fairly mild.
Five were return cases, i.e., cases admitted from a household within
28 days of the return of a case of scarlatina to that household. This gives a
return case rate of 1.97 per cent., which is low.
One minor operation was performed for abscess in the arm.
Six cases of scarlatina were admitted incubating other diseases, and of
these two developed Rubella on separate occasions, one after five days and
one after 18 days.
One patient who had been in contact with morbilli at home developed
this disease eight days after admission, but the four hospital contacts were
given human immune serum with complete protection.
One patient developed an illness strongly resembling morbilli 18 days
after admission although no cases of this disease were present in the hospital
at that time. Two contacts developed a similar condition with mild rash
17 days later.
One child developed Pertussis a few days after admission, but no
secondary cases followed.
One child developed erysipelas in addition to the scarlatina for which
she was admitted, despite the fact that prontosil alba was being used for
treatment.
Two cases were double infection on admission suffering coincidently
from scarlatina. One case developed scarlatina six days after admission, and
one case developing morbilli 10 days after admission produced two mild
secondary infection despite the use of specific immune serum.
66